فهرست مطالب محمد رادمنش

Apocrine nevus is a rare benign tumor of which only 9 cases have been reported in the literature. The apocrine nevus is seen mostly in the areas where the apocrine glands are normally distributed such as axillae, head and neck. Our case was a 16-year old girl who referred with a verrucous erythematous plaque over right parietal side of the scalp. The patient had the plaque since birth with partial growth after puberty. Histopathologic study showed mature apocrine glands located in the reticular and papillary dermis with epidermal papillomatosis and acanthosis.

Psoriasis is a common and genetically determined skin disease, which is frequent throughout the world.

To perform a descriptive clinical study of 200 cases of psoriasis in Ahwaz. Patients and

This study was performed from November 1997 to April 1999 on 200 psoriatic patients attended a private skin clinic in Ahwaz. Data were collected from patients and entered in questionnaires.

56% of the patients were female and 44% were male. The age of onset was in the 1st, 2nd, 3rd and 4th decades in 24.2%, 33.5%, 18.5% and 10%, respectively. Their age was in the 1st, 2nd, 3rd and 4th decades in 23.5%, 28.5%, 17.5% and 14%, respectively. Only few cases referred with later ages of onset. In 40% of the cases the disease started from the scalp. 9% of the patients reported positive Koebner phenomenon. A positive family history for psoriasis was found in 25%. Nail involvement was detected in 39% of the patients.

Psoriasis in Ahwaz shows a similar pattern to the other parts of world.

Thirty to forty percent of the patients referred to dermatologic clinics are estimated to have psychiatric problems. These patients either are those who have developed dermatologic problems as a consequence of their primary psychiatric disorders or those who have developed psychiatric disorders following their chronic and disfiguring dermatologic problems. The third group are psychophysiologic disorders which may aggravate following psychiatric or emotional stress.

Our purpose is to stress the significance of the psychodermatologic problems for both dermatologists and psychiatrists; to have an overview and a brief classification of these and discussing the approach to the patients with psychodermatologic disorders.

The dermatologists and psychiatrists’ pitfalls in approaching the psychodermatologic disorders are discussed. Psychodermatologic disorders are classified and their underlying psychopathologies are mentioned.

Both dermatologists and psychiatrists should be trained more to manage these relatively frequent patients well; for this purpose establishing the dermatology-psychiatry liaison clinics and or helding the dermatologic-psychiatric conferences are advised.